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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />..1-1/-0 I.j <br />f <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME {Y\o-o("'l ~. COqe- \~t. <br /> . <br />JOB ADDRESS ~~ \ \ ()Q.., \<;~, ~ ~-\- \,.J a.. "'-I <br /> (t'V) I <br />LEGAL DESCRIPTION: LOT(S) 4- BLOCK <br /> <br />PHONE <br /> <br />PARCEL 10 # <br /> <br />SUBDIVISION 0",,- ~ . C. \'~~ \- F~-\-c.. ~ <br />OtJ.. - 2.l:.-'Z.'" D')'5'0- 000-00 .O'D~O (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK eROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />Q-'INSTALL <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J # OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCR!PTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-::r.,...')-\e..\\ OV-\CCl~' Sp<rV'-~\u S'l~~'- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDtNTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />CO~RCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />[J ELECtRICAL <br /> <br />~ING <br />[J MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J <br /> <br /> <br />j11;) <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />11>00 . C 0 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />CO~CT():R..'.SECTIQN <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNAiTURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELEC'mICIAN <br /> <br />COMPANY <br /> <br />SIGN~TURE <br />I <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUM$:R <br />SIGNATURE <br /> <br />/r#70~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MEC~ICAL <br />SIGNJ}TURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHEa <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />